Basic Information
Provider Information
NPI: 1891974796
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEITOUNI
FirstName: MOHAMMED
MiddleName: O
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5501
Address2:  
City: BISMARCK
State: ND
PostalCode: 585065501
CountryCode: US
TelephoneNumber: 7013236000
FaxNumber: 7013235709
Practice Location
Address1: 222 N 7TH ST
Address2:  
City: BISMARCK
State: ND
PostalCode: 585014436
CountryCode: US
TelephoneNumber: 7013236000
FaxNumber: 7013235709
Other Information
ProviderEnumerationDate: 10/26/2007
LastUpdateDate: 07/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X10758NDN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X10758NDY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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